Organization · Type 2 NPI

Providence Place, Inc

Intellectual Disabilities Intermediate Care Facility · Durham, NC

NPI number 1801064118 Active

Practice location

916 Clayton Rd
Durham, NC 27703-2608

Call (919) 767-9037 Map

Fax (919) 767-9037

Mailing address

156 Wolfsnare Ln
Morrisville, NC 27560-7061

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XMHL-032-422 (NC)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

2 other providers at this address

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About NPI 1801064118

Providence Place, Inc's National Provider Identifier is 1801064118, issued on Feb 20, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Durham, NC. The record was last updated on Feb 20, 2008.